RAE CHIROPRACTIC CENTER
NPI 1487794541
Chiropractor in Boise, ID

Q: What is Broadway Chiropractic Center Professional Association's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since February 07, 2007

1149 W BOISE AVE, BOISE, ID 83706(208) 345-3630(208) 345-3640 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Rae Chiropractic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAE CHIROPRACTIC CENTER (NPI 1487794541) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Donald D Rae, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1487794541

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBROADWAY CHIROPRACTIC CENTER PROFESSIONAL ASSOCIATION

Location Address1149 W BOISE AVEBoise, ID 83706-3503

Mailing Address1149 W Boise AveBoise, ID 83706-3503 · (208) 345-3630 · Fax (208) 345-3640

Phone(208) 345-3630

Fax(208) 345-3640

Organization SubpartNo

Authorized OfficialDonald D RaeOwner/ President · (208) 345-3630

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJanuary 27, 2011

✔ NPI 1487794541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ID · C373

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1149 W BOISE AVE, Boise, ID 83706

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Other Names 1

Other NameRae Chiropractic Center

Other Identifiers 4

Other000010145978ID · Blue Shield

Medicare UPINT44447ID

Medicare ID-Type Unspecified1376843ID

OtherC9511ID · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rae Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rae Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Rae, D.C.

Chiropractic

NPI 1629173760

1149 W BOISE AVE
Boise, ID 83706

(208) 345-3630

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Chiropractic Center Professional Association's NPI number?

The NPI number for Broadway Chiropractic Center Professional Association is 1487794541. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Rae Chiropractic Center.

Where is Broadway Chiropractic Center Professional Association located?

Broadway Chiropractic Center Professional Association is located at 1149 W Boise Ave, Boise, ID 83706. The listed phone number is (208) 345-3630.

What is Broadway Chiropractic Center Professional Association's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Broadway Chiropractic Center Professional Association enrolled in Medicare?

Yes. Broadway Chiropractic Center Professional Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Chiropractic Center Professional Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Broadway Chiropractic Center Professional Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Broadway Chiropractic Center Professional Association accept?

Health plans from Moda Health Plan, Inc. list Broadway Chiropractic Center Professional Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Chiropractic Center Professional Association was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.